What Is Addiction

Causes and Risk Factors for Addiction

Definitions, Symptoms, and Treatment Options

Addiction is a chronic disorder marked by compulsive substance use despite harmful effects. It impacts health, relationships, and daily functioning.

This article outlines what is addiction, its symptoms, types, and treatments for addiction.

Key Takeaways

  • Addiction is a chronic disease characterized by compulsive substance use despite negative consequences, impacting health and quality of life.
  • Effective treatment for addiction involves a combination of approaches tailored to individual needs, including detoxification, inpatient rehabilitation, outpatient treatment, and dual-diagnosis care.
  • Long-term support and aftercare, including alumni programs and peer-led sessions, are essential for sustaining recovery and preventing relapse after initial treatment.
  • Ready to break free from drug and alcohol addiction? Charles River Recovery provides a path to lasting sobriety with personalized, evidence-based treatment and compassionate care, tailored to your unique journey.

The Meaning of Addiction

Addiction 1 is a recurring disorder characterized by a compulsive drive to seek and use substances despite negative consequences. This chronic condition significantly impacts health, relationships, and quality of life.

The clinical term for addiction is substance use disorder, and it involves uncontrolled substance use despite harmful consequences. Generally, it manifests in forms like drug addiction and alcohol use disorder.

Addiction is the most severe form of substance abuse disorder, representing a critical level of dependency. It involves a significant loss of self-control and a compulsive behavior, driven by the immediate positive effects of substance use. This makes change difficult and can lead to developing a drug abuse problem.

Addiction medicine is a specialized field that addresses these issues, offering treatment options to help individuals regain control over their lives. Many individuals may be in denial about their substance use problems, so recognizing the issue is the first critical step toward recovery.

Understanding addiction as a chronic disease characterized by compulsive substance use despite harm is crucial. It is not merely a lack of willpower but a complex interplay of factors that affect the brain and behavior, similar to other chronic diseases. This understanding paves the way for effective addiction treatment and supports the journey towards recovery.

Types of Addiction

Addiction can be broadly categorized into two main types: substance use disorders and behavioral addictions 2.

Substance use disorder is the current term used for substance addiction, and it includes conditions like alcohol use disorder and opioid addiction. Here in the United States, alcohol use disorder is the most common substance addiction 3. It impacts millions of individuals across the country.

Behavioral addictions, on the other hand, involve compulsive engagement in certain potentially addictive activities despite negative consequences. These include gambling disorder, food addiction, and technology addiction related to social media and gaming. The rise of mobile and online gaming has made video game addiction a growing public health concern with significant behavioral and psychological impacts.

Substance addictions often lead to physical dependence, where the body adapts to the presence of psychoactive substances, causing withdrawal symptoms when use is reduced or stopped. This is why you may feel sick, anxious, or in pain when you try to stop using. Your body has gotten used to the substance, and it’s reacting to its absence.

This is commonly seen in opioid addiction 4, where the psychological effects of opioids create high levels of positive reinforcement in the brain, promoting continued use. Volatile substance abuse involving inhalants is another dangerous form of substance addiction with severe health risks.

Treating each type of addiction requires a tailored approach, considering the unique challenges and health risks involved. 

Types of Addiction

Common Addictive Substances

Several substances are commonly associated with addiction, each carrying significant health risks.

Alcohol, for instance, can lead to both physical and psychological dependence 5, often resulting in severe withdrawal symptoms. This is why you may experience shaking, sweating, anxiety, or even hallucinations when you try to quit drinking. Your body and mind have become reliant on alcohol to function normally.

People who drink alcohol may experience these risks. Opioids 6, including drugs like heroin and prescription pain relievers, have a high risk of dependence and addiction, posing serious health threats. This is why you may find it nearly impossible to stop using without help, even if you want to. The brain’s reward system has been hijacked, making the cravings and withdrawal feel overwhelming.

Different drugs and their associated health risks include:

  • Cocaine: a powerful stimulant that can lead to significant cardiovascular issues, including heart attacks.
  • Methamphetamine: a highly addictive substance associated with serious health risks, including severe dental problems known as ‘meth mouth.’
  • Club drugs such as MDMA (Ecstasy): can cause long-term damage to the brain and impair body temperature regulation, particularly in the context of drug use.
  • Inhalants 7, often used by younger populations, can lead to sudden death or long-term damage to the brain and other organs, sometimes from just a single use.

Recognizing the severe consequences of these addictive substances highlights the importance of seeking effective treatment to mitigate health risks.

Behavioral Addictions Explained

Behavioral addictions involve excessive and compulsive use of certain behaviors, leading to negative consequences in various aspects of life.

Examples of behavioral addictions include gambling disorder and technology addiction related to social media, gaming, and behavioral addiction. The rise of mobile and online gaming has made video game addiction a growing public health concern with significant behavioral and psychological impacts.

Gaming addiction can lead to:

  • Neglect of daily responsibilities, including personal hygiene and social interactions
  • Physical health issues such as strain injuries and poor nutrition
  • Clinically significant impairment or distress from persistent and recurrent use of internet games, affecting various aspects of life, including mental health problems.

Research 8 indicates a strong link between gaming addiction and various psychological issues, including depression.

Video game addiction can lead to significant changes in behavior and brain function, resembling those seen in substance addiction.

Causes and Risk Factors for Addiction

Several studies 9 have arrived at the conclusion that addiction is influenced by a combination of genetic factors, biological factors, and environmental factors, along with other factors.

Genetic studies 10 have identified multiple inherited genes that contribute to addiction across different substances, making genetics the number one risk factor for substance use disorder. However, environmental influences, such as exposure to drugs and societal factors, significantly interact with genetic predispositions to increase addiction risk.

Personal experiences, including trauma and mental health issues, can heighten vulnerability to addiction.

Adverse childhood experiences 11 are significant environmental risk factors that can lead to substance use problems later in life, potentially resulting in adverse consequences. Effective treatment plans often account for the individual’s life circumstances and social environment to address underlying issues.

Integrated treatment for co-occurring disorders is critical for addressing both physical and mental health as well as substance abuse issues, ensuring a holistic approach to recovery.

Causes and Risk Factors for Addiction

Symptoms and Diagnosis

The symptoms of addiction can vary significantly depending on the substance and the individual. Common physical withdrawal symptoms include:

  • Nausea
  • Sweating
  • Tremors which can be distressing.

The DSM-5 12, also known as the Diagnostic and Statistical Manual of Mental Disorders, outlines a range of criteria for diagnosing substance use disorders, focusing on behavioral and physiological symptoms.

These criteria include the inability to control substance use, continued use despite harm, and significant time spent obtaining, using, or recovering from problematic substance use, including opioid use disorder.

A formal assessment by a mental health professional ensures an accurate diagnosis and appropriate treatment plan for substance use disorder.

The Science Behind Addiction

Addiction is linked to physical changes in the brain’s reward and self-control circuits, influencing decision-making and behavior. Brain imaging studies 13 have revealed that individuals with addiction often exhibit dysregulation in the prefrontal cortex, which is critical for impulse control and decision-making. Chronic substance use leads to decreased dopamine function in the brain, impairing cognitive processes like decision-making and judgment.

That is why you might feel like you’re not in control of your actions, even when you’re aware of the consequences. These brain changes can make it incredibly difficult to resist urges or make healthy choices, no matter how much you want to.

During cravings or drug intoxication, various brain regions involved in the brain’s reward system and motivation become activated 14. The model of addiction posits that the drug’s perceived value increases over time, diminishing the appeal of natural rewards and leading to compulsive drug-seeking behavior.

Changes in dopamine receptor levels in individuals with addiction can lead to a reduced sensitivity to natural reinforcers, making the pursuit of drugs more appealing.

Options for Addiction Treatment

Effective addiction treatment involves a combination of approaches tailored to the individual’s needs.

Generally, the factors influencing the choice of addiction treatment include the severity and type of addiction, available support, and the person’s motivation. So, identifying the problem is the first step in treating addiction.

Detoxification Programs for Alcohol & Drug Addiction

Detoxification programs are the first step in the treatment process, aiming to manage withdrawal symptoms and stabilize the individual.

At Charles River Recovery, we offer personalized detoxification programs for various substances, including:

  • Alcohol
  • Opioid
  • Methamphetamine
  • Prescription pills
  • Cocaine 

We provide inpatient drug detox and alcohol rehab center clinical stabilization in a safe, supportive facility.

Detoxification, involving medical supervision to ensure safety and comfort during withdrawal, is crucial for managing the acute physical effects of stopping substance use and preparing the individual for further treatment through harm reduction.

The support provided during detoxification can make a significant difference in the overall recovery journey.

Start Your Journey With Our Detox Program in Massachusetts

If you or someone you love is battling alcohol or drug addiction, Charles River Recovery offers expert, evidence-based detox services designed to help you take that first critical step toward healing. 

Our medically supervised detox program ensures safety, comfort, and compassion during withdrawal, removing harmful substances from the body while building the foundation for long-term recovery.

We understand how painful and isolating addiction can feel, but you are never alone here.

Our team of specialists will work with you to create a personalized treatment plan that addresses not just the addiction but the underlying causes behind it, whether physical, emotional, or psychological.

From the moment you arrive, our supportive, state-of-the-art facility in Weston, MA, provides a structured and nurturing environment focused on whole-person healing.

Don’t wait until things get worse. The path to recovery starts with one call. We are available 24/7, and we accept most major insurance plans. Call (844) 441-0455 today to get started.

Inpatient Rehabilitation

Inpatient rehabilitation provides a structured and supportive environment for individuals recovering from addiction. These rehab services typically offer 24-hour medical care and supervision, ensuring that clients receive the necessary support at all times.

Outpatient Day Treatment

Outpatient day treatment provides continued recovery support with partial day attendance, making it ideal for individuals reintegrating into their home environments. At Charles River Recovery, our day treatment program is designed to provide flexible yet comprehensive support for individuals on their journey to recovery.

This treatment option allows individuals to receive support while maintaining daily responsibilities, offering a structured approach to overcome addiction while balancing personal and professional life. It offers a flexible approach tailored to individual needs, effectively supporting those reintegrating into their home environments.

Dual-Diagnosis Treatment

Dual-diagnosis treatment 15 is essential for individuals with co-occurring mental health disorders and substance use disorders, as outlined in the manual of mental disorders. Integrated care is essential for effectively addressing the complex interplay between mental health and substance use disorders.

This approach ensures that both mental health and substance use issues are addressed simultaneously, providing a comprehensive path to recovery.

Medication-Assisted Treatment

Medication-assisted treatment (MAT) plays a critical role in managing cravings and withdrawal symptoms. Here, experts might use FDA-approved medication for treatments, such as naltrexone 16 and acamprosate 17. These medications can be crucial in managing cravings and withdrawal symptoms during recovery.

Medications like methadone 18 specifically target opioid addiction. MAT is most effective when combined with therapy and peer support, offering a holistic approach to addiction treatment.

This combination of prescribed medications and prescription medication therapy helps individuals manage the physiological and psychological aspects of addiction, supporting sustained recovery and reducing the risk of relapse.

Long-Term Support and Aftercare

Long-term support and aftercare are essential components for sustaining recovery and preventing relapse after treatment. Ongoing support systems help individuals navigate challenges after treatment, ensuring they have the resources and community needed to stay sober.

Long-Term Support and Aftercare of Addiction

Alumni Programs

Alumni programs create a sense of community for recovering individuals, fostering connections that assist in maintaining sobriety. These programs typically include:

  • Regular meetings that help participants share experiences and strategies to reinforce their commitment to sobriety
  • Social activities
  • Opportunities for mentorship 

These elements enhance long-term recovery.

Charles River Recovery has an alumni program that includes ongoing community support, weekly groups, relapse prevention, and virtual/in-person meetings. It also provides educational and aftercare planning tools on triggers, relapse prevention, and long-term support post-discharge.

This structured support system helps individuals stay connected and continue their recovery journey with the backing of a supportive community.

Peer-Led Sessions and Support Groups

Participation in 12-step programs like Narcotics Anonymous and Alcoholics Anonymous provides members with structured support and accountability.

Peer-led sessions and self-help groups enhance coping skills by:

  • Helping members identify triggers and develop strategies to manage cravings
  • Offering a unique space for individuals to connect with others who share similar recovery journeys
  • Fostering a sense of community and mutual aid group support while learning new coping skills.

Continue Recovery With the Charles River Recovery Alumni Program

At Charles River Recovery, recovery doesn’t end when treatment does. We have an alumni program, a powerful community of support that helps you maintain sobriety, celebrate milestones, and stay connected long after discharge.

Whether through weekly support groups, sober community events, virtual check-ins, or personal outreach, our alumni services are designed to help you thrive.

Our dedicated alumni coordinator ensures you always have someone in your corner, helping you navigate real-world challenges, avoid relapse triggers, and build meaningful relationships with others in recovery.

Family and Community Impact

Addiction can turn a previously stable home environment into one filled with stress and hostility, affecting all family members’ mental and physical health.

Financial difficulties often arise from addiction, potentially leading to poverty, legal problems, or even bankruptcy within the family unit. The emotional toll of addiction can lead to shame and social isolation, as a family member may avoid interactions with friends and relatives.

Restoring relationships affected by addiction requires time and often the involvement of addiction professionals to mend the damage done.

Peer-led groups facilitate a sense of community, allowing individuals to share experiences and gain insights from others who have faced similar challenges. Peer support groups enhance coping skills by helping members identify triggers and develop strategies to manage cravings.

Community support fosters long-term recovery and helps to mitigate the negative effects of addiction on families.

Frequently Asked Questions

What is the mission of Charles River Recovery?

The mission of Charles River Recovery is to deliver high-quality detox and addiction treatment services while addressing patients’ physical, emotional, and spiritual needs in a compassionate environment.

What types of treatment does Charles River Recovery offer?

At Charles River Recovery, we offer drug and alcohol detox and outpatient day treatment. These comprehensive services address substance use, ensuring a holistic approach to recovery.

How does Charles River Recovery ensure personalized treatment?

Charles River Recovery ensures personalized treatment by creating individualized treatment plans based on a comprehensive assessment of each client’s unique goals and needs. This tailored approach enhances the effectiveness of the recovery process.

Conclusion

Understanding addiction is crucial for effective intervention and support. The journey to recovery might be challenging, but it is possible with the right support and resources. Charles River Recovery stands out as a beacon of hope, offering personalized and compassionate care to help individuals reclaim their lives.

Whether you are seeking help for yourself or a loved one, remember that recovery is a journey, and every step forward is a step towards a brighter future. Reach out today.

Disclaimer

The information provided in this article is for educational and informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 

Always seek the guidance of a qualified healthcare provider or addiction specialist with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay seeking treatment because of something you have read on this website. 

Charles River Recovery is not liable for any decisions made or actions taken based on the information provided here. 

Sources

  1. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction
  2. http://pubmed.ncbi.nlm.nih.gov/29098666/
  3. https://nida.nih.gov/research-topics/alcohol
  4. https://www.ncbi.nlm.nih.gov/books/NBK526012/
  5. https://www.ncbi.nlm.nih.gov/books/NBK65500/
  6. https://nida.nih.gov/research-topics/opioids
  7. https://nida.nih.gov/research-topics/inhalants
  8. https://www.sciencedirect.com/science/article/pii/S0165032724014368
  9. https://pmc.ncbi.nlm.nih.gov/articles/PMC3556483/
  10. https://www.nature.com/articles/s44220-023-00034-y
  11. https://pmc.ncbi.nlm.nih.gov/articles/PMC10106480
  12. https://www.psychiatry.org/psychiatrists/practice/dsm
  13. https://pmc.ncbi.nlm.nih.gov/articles/PMC3462342/
  14. https://pmc.ncbi.nlm.nih.gov/articles/PMC155054
  15. https://pmc.ncbi.nlm.nih.gov/articles/PMC6526999/
  16. https://www.ncbi.nlm.nih.gov/books/NBK534811/
  17. https://pmc.ncbi.nlm.nih.gov/articles/PMC3277871
  18. https://www.ncbi.nlm.nih.gov/books/NBK310658/

Medically Reviewed by Dr. Salah Alrakawi

Dr. Salah Alrakawi brings over 30 years of expertise in clinical medicine, academia, and administration. He is dual board-certified in Internal Medicine and Addiction Medicine, reflecting his deep commitment to providing comprehensive, patient-centered care.

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Dr. Salah Alrakawi

Dr. Salah Alrakawi brings over 30 years of expertise in clinical medicine, academia, and administration. He is dual board-certified in Internal Medicine and Addiction Medicine, reflecting his deep commitment to providing comprehensive, patient-centered care.

Currently serving as the Medical Director at Charles River Recovery, Dr. Alrakawi also holds roles as an Attending Physician in the Department of General Internal Medicine at Brigham and Women’s Hospital, Atrius Health, and the Massachusetts Alcohol and Substance Abuse Center (MASAC). His multifaceted work underscores his dedication to advancing both the treatment of addiction and general internal medicine.

Dr. Alrakawi earned his medical degree from Damascus University and completed his Internal Medicine residency at Woodhull Medical Center. He is also a valued member of the teaching faculty at Harvard Medical School, where he helps shape the next generation of physicians.

Throughout his career, Dr. Alrakawi has been recognized with numerous awards and honors from the Massachusetts Department of Public Health, Tufts University School of Medicine, Tufts Medical Center, Lemuel Shattuck Hospital, and Brigham and Women’s Hospital, highlighting his contributions to public health, education, and patient care.

Beyond his professional endeavors, Dr. Alrakawi is an avid traveler who enjoys hiking, playing soccer, and immersing himself in diverse cultures around the world.

Steven Barry

Steven Barry holds a B.A. in Economics from Bates College with extensive professional experience in both financial and municipal management. In his role as Director of Outreach, Steve leads the Charles River team in fostering relationships across the recovery community, local cities and towns, labor partners, and serving as a general resource for anyone seeking help.

Steve’s Charles River Why – “Anything I have ever done in my professional career has been rooted in helping people.  There is no more direct correlate to that end than assisting people find their path to reclaim their life from the grips of addiction”. 

Jillian Martin
Jillian Martin, the Director of Clinical Services, brings over 15 years of experience in behavioral healthcare and more than a decade in national executive clinical leadership. She holds a Bachelor’s degree in Behavioral Science from Concordia College in Bronxville, NY, combining psychology and sociology, and a Master of Science in Marriage and Family Therapy from Eastern Nazarene College. Licensed as an LADC I and LMHC, she is also EMDR-trained. Her diverse background spans patient care in various settings, including inpatient treatment for underserved populations, utilizing an eclectic approach and innovative therapies to enhance patient experiences across levels of care. Jillian enjoys planning adventures, living life to the fullest, and spending quality time with her son.